摘要
目的 总结经尿道前列腺电汽化术 (TVP)治疗良性前列腺增生 (BPH)的围手术期处理经验。 方法 回顾性分析 1 998年 6月～ 2 0 0 2年 9月应用TVP治疗BPH 6 93例。 结果 手术时间 2 5min～ 1 30min ,平均 5 4min。术中 4例出现经尿道前列腺电切综合征的早期症状 ,均予以及时纠正 ,无手术死亡。 4 2 2例术后随访 3月～ 9月 ,IPSS由术前 (2 4 8± 3 2 )分下降至3月后的 (1 1 4± 1 9)分 (t=5 4 8,P <0 0 0 1 ) ,最大尿流率由术前 (8 2± 2 0 )ml/s上升至 3月后的 (1 6 1± 4 7)ml/s(t=3 92 ,P<0 0 0 1 )。 结论 BPH围手术期处理的关键力求个体化 。
Objective To summarize the perioperative care experience in patients with benign prostatic hyperplasia (BPH) treated by transurethral electrovaporization of the prostate (TVP). Methods A retrospective analysis of 693 cases of BPH treated by TVP from June 1998 to September 2002 was conducted. Results The operation time ranged (25～130) min (mean, 54 min). Four patients intraoperatively presented with the early symptoms of the transurethral resection syndrome (TURS) and were treated promptly, without deaths during operations. Follow-up checkups for (3～9) months in 422 cases showed that, from the preoperative period to the 3rd postoperative month, the I-PSS declined from (24.8±3.2) points to (11.4±1.9) points ( t=5.48; P <0.001), and the Qmax elevated from (8.2±2.0) ml/s to (16.1±4.7) ml/s ( t=3.92; P<0.001 ). Conclusions Emphasis should be on the individualizing the perioperative care and active therapy for complications in the treatment of BPH.
出处
《中国微创外科杂志》
CSCD
2003年第6期509-510,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
前列腺增生
经尿道前列腺电汽化术
手术治疗
围手术期
Benign prostatic hyperplasia
Transurethral electrovaporization of the prostate
Perioperative period
